CCN: 140280 NPI: 1316047632 Organization

TRINITY ROCK ISLAND

2701 17TH ST
ROCK ISLAND, IL 612015351

Contact Information

Phone 3097795000
Fax 3097793209
Enumeration Date 2006-09-25
Last Updated 2024-05-03

Taxonomies

Code: 2084P0800X License State: IL License: 0003244
Code: 273R00000X
Code: 273R00000X License State: IL License: 0003244
Code: 282N00000X License State: IL License: 1745008
Code: 282N00000X (Primary) License State: IL License: 0003244

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.326

medicaidRatio 0.2527

uncompensatedCareAmount 484.78

vbpAdjustment 0.9910336154

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.326

medicaidRatio 0.2527

uncompensatedCareAmount 484.78

vbpAdjustment 0.9910336154

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.326

medicaidRatio 0.2527

uncompensatedCareAmount 360.76

vbpAdjustment 0.9888005593

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.311

medicaidRatio 0.2364

uncompensatedCareAmount 360.76

vbpAdjustment 0.9888005593

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.311

medicaidRatio 0.2364

uncompensatedCareAmount 360.76

vbpAdjustment 0.9888005593

hhrAdjustment 0.9931

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.311

medicaidRatio 0.2364

uncompensatedCareAmount 365.66

vbpAdjustment 0.9973202412

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.351

medicaidRatio 0.237

uncompensatedCareAmount 365.66

vbpAdjustment 0.9973202412

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.351

medicaidRatio 0.237

uncompensatedCareAmount 365.66

vbpAdjustment 0.9973202412

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.351

medicaidRatio 0.237

uncompensatedCareAmount 334.96

hhrAdjustment 0.9967

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.308

medicaidRatio 0.2397

uncompensatedCareAmount 334.96

hhrAdjustment 0.9967

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.308

medicaidRatio 0.2397

uncompensatedCareAmount 334.96

hhrAdjustment 0.9967

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.308

medicaidRatio 0.2397

uncompensatedCareAmount 317.87

hhrAdjustment 0.9867

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.31

medicaidRatio 0.2248

uncompensatedCareAmount 317.87

hhrAdjustment 0.9867

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.31

medicaidRatio 0.2248

uncompensatedCareAmount 317.87

hhrAdjustment 0.9867

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.31

medicaidRatio 0.2248

uncompensatedCareAmount 317.87

hhrAdjustment 0.9867

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.295

medicaidRatio 0.2557

uncompensatedCareAmount 317.87

hhrAdjustment 0.9867

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.295

medicaidRatio 0.2557

uncompensatedCareAmount 425.64

vbpAdjustment 1.0034161516

hhrAdjustment 0.9897

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.295

medicaidRatio 0.2557

uncompensatedCareAmount 433.09

vbpAdjustment 1.0043172766

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 433.09

vbpAdjustment 1.0043172766

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 07

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 433.09

vbpAdjustment 1.0043172766

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 433.09

vbpAdjustment 1.0043172766

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 433.09

vbpAdjustment 1.0043172766

hhrAdjustment 0.993

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 487.07

vbpAdjustment 0.9930837092

hhrAdjustment 0.9932

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.307

medicaidRatio 0.2599

uncompensatedCareAmount 487.07

vbpAdjustment 0.9930837092

hhrAdjustment 0.9932

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.306

medicaidRatio 0.2683

uncompensatedCareAmount 487.07

vbpAdjustment 0.9930837092

hhrAdjustment 0.9932

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.306

medicaidRatio 0.2683

uncompensatedCareAmount 487.07

vbpAdjustment 0.9930837092

hhrAdjustment 0.9932

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.306

medicaidRatio 0.2683

uncompensatedCareAmount 410.21

vbpAdjustment 0.9955144172

hhrAdjustment 0.9964

censusDivision 4

cbsaActualGeographicLocation 19340

providerType 00

caseMixIndex 1.0668

operatingCostToChargeRatio 0.329

medicaidRatio 0.2484

uncompensatedCareAmount 410.21

vbpAdjustment 0.9955144172

hhrAdjustment 0.9964

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.551

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.216

deviceCostToChargeRatio 0.551

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.422

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.422

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.488

specialPaymentIndicator D

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.488

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.203

deviceCostToChargeRatio 0.489

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.474

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.474

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 07

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.522

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.522

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.495

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.495

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 19340

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.507

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 06102

localityCode 99

TRINITY ROCK ISLAND

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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